Individual provider Active NPI

Frank Severino

  • Hearing Instrument Specialist
  • Orange Park, FL
National Provider Identifier
1740799469
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5249 Issued in FL
Practice address
2108 Park Ave Ste 108
Orange Park, FL 32073-5589
Phone
(904) 375-0658
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5249 FL Primary

Addresses

Primary practice location

2108 Park Ave Ste 108
Orange Park, FL 32073-5589

Mailing address

4765 Hodges Blvd Ste 14
Jacksonville, FL 32224-5279
Phone (604) 516-4149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS5249FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nextgen Hearing Centers Hearing Instrument Specialist CurrentSince Feb 23, 2020 Accepting new patients

Locations

2108 Park Ave
Ste 108
Orange Park, FL 32073
Phone (904) 375-0658

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1740799469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 HODGES BLVD STE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245279",
            "telephone_number": "604-516-4149",
            "fax_number": "604-516-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 PARK AVE STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735589",
            "telephone_number": "904-375-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.